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加速罕见病治疗的可及性。

Accelerating access to treatments for rare diseases.

机构信息

Global Head of GSK Rare Diseases, GSK House, 980 Great West Road, Brentford, TW8 9GS, UK.

出版信息

Nat Rev Drug Discov. 2011 Jun 24;10(7):475-6. doi: 10.1038/nrd3493.

DOI:10.1038/nrd3493
PMID:21701499
Abstract

Changes in regulatory policy and legislative incentives to promote the development of drugs for rare diseases - orphan drugs - have led to increases in the number of orphan drug designations, but the rate of such products reaching the market remains frustratingly flat. This article highlights areas in which novel approaches could facilitate regulatory approval and access to treatments for rare diseases.

摘要

监管政策的变化和立法激励措施促进了罕见病药物(孤儿药)的发展,孤儿药的指定数量有所增加,但这些产品进入市场的速度仍然令人沮丧地缓慢。本文重点介绍了一些新方法可以促进罕见病的监管审批和治疗途径。

相似文献

1
Accelerating access to treatments for rare diseases.加速罕见病治疗的可及性。
Nat Rev Drug Discov. 2011 Jun 24;10(7):475-6. doi: 10.1038/nrd3493.
2
Rare diseases, orphan drugs and their regulation: questions and misconceptions.罕见病、孤儿药及其监管:问题与误区。
Nat Rev Drug Discov. 2010 Dec;9(12):921-9. doi: 10.1038/nrd3275. Epub 2010 Nov 9.
3
Incentives for orphan drug research and development in the United States.美国孤儿药研发的激励措施。
Orphanet J Rare Dis. 2008 Dec 16;3:33. doi: 10.1186/1750-1172-3-33.
4
Ethical imperatives of timely access to orphan drugs: is possible to reconcile economic incentives and patients' health needs?及时获取罕见病药物的伦理要求:能否协调经济激励与患者健康需求?
Orphanet J Rare Dis. 2017 Jan 5;12(1):1. doi: 10.1186/s13023-016-0551-7.
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Incentivizing Orphan Product Development: United States Food and Drug Administration Orphan Incentive Programs.激励孤儿药开发:美国食品和药物管理局孤儿药激励计划。
Adv Exp Med Biol. 2017;1031:183-196. doi: 10.1007/978-3-319-67144-4_10.
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The US Orphan Drug Act: rare disease research stimulator or commercial opportunity?美国孤儿药法案:罕见病研究的刺激因素还是商业机会?
Health Policy. 2010 May;95(2-3):216-28. doi: 10.1016/j.healthpol.2009.12.001. Epub 2009 Dec 29.
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R&D and market size: Who benefits from orphan drug legislation?研发与市场规模:孤儿药立法的受益者是谁?
J Health Econ. 2021 Dec;80:102522. doi: 10.1016/j.jhealeco.2021.102522. Epub 2021 Sep 4.
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The impact of the Orphan Drug Act on Food and Drug Administration-approved therapies for rare skin diseases and skin-related cancers.《孤儿药法案》对美国食品药品监督管理局批准的罕见皮肤病和皮肤相关癌症治疗方法的影响。
J Am Acad Dermatol. 2019 Sep;81(3):867-877. doi: 10.1016/j.jaad.2019.05.025. Epub 2019 May 16.
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Adopting orphan drugs--two dozen years of treating rare diseases.采用孤儿药——二十多年来对罕见病的治疗
N Engl J Med. 2006 Feb 2;354(5):445-7. doi: 10.1056/NEJMp058317.
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The impact of the Orphan Drug Act on the development and advancement of neurological products for rare diseases: a descriptive review.《孤儿药法案》对罕见病神经学产品的开发和进步的影响:描述性综述。
Clin Pharmacol Ther. 2010 Oct;88(4):449-53. doi: 10.1038/clpt.2010.193.

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The quality of reporting in case reports of permanent neonatal diabetes mellitus: a cross-sectional study.永久性新生儿糖尿病病例报告的报告质量:一项横断面研究。
BMC Med Res Methodol. 2024 May 20;24(1):117. doi: 10.1186/s12874-024-02226-1.
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Sharing information across patient subgroups to draw conclusions from sparse treatment networks.跨患者亚组共享信息,以从稀疏治疗网络中得出结论。
Biom J. 2024 Apr;66(3):e2200316. doi: 10.1002/bimj.202200316.
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A rank-based approach to evaluate a surrogate marker in a small sample setting.基于等级的方法在小样本设置中评估替代标志物。

本文引用的文献

1
European regulation on orphan medicinal products: 10 years of experience and future perspectives.欧洲孤儿药法规:10 年经验与未来展望。
Nat Rev Drug Discov. 2011 May;10(5):341-9. doi: 10.1038/nrd3445.
2
Emergence of orphan drugs in the United States: a quantitative assessment of the first 25 years.美国孤儿药的出现:对前 25 年的定量评估。
Nat Rev Drug Discov. 2010 Jul;9(7):519-22. doi: 10.1038/nrd3160. Epub 2010 Jun 7.
Biometrics. 2024 Jan 29;80(1). doi: 10.1093/biomtc/ujad035.
4
Long way to go: Progress of orphan drug accessibility in China from 2017 to 2022.任重道远:2017年至2022年中国罕见病药物可及性进展
Front Pharmacol. 2023 Mar 8;14:1138996. doi: 10.3389/fphar.2023.1138996. eCollection 2023.
5
Literature Review on Health Emigration in Rare Diseases-A Machine Learning Perspective.罕见病健康移民的文献综述——基于机器学习的视角。
Int J Environ Res Public Health. 2023 Jan 30;20(3):2483. doi: 10.3390/ijerph20032483.
6
Drug Repositioning: New Approaches and Future Prospects for Life-Debilitating Diseases and the COVID-19 Pandemic Outbreak.药物重定位:治疗生命垂危疾病和 COVID-19 大流行的新方法和未来前景。
Viruses. 2020 Sep 22;12(9):1058. doi: 10.3390/v12091058.
7
How Do Patients and Doctors Perceive Medical Services for Rare Diseases Differently in China? Insights from Two National Surveys.中国的患者和医生对罕见病医疗服务的看法有何不同?两项全国性调查的结果。
Int J Environ Res Public Health. 2020 Aug 17;17(16):5961. doi: 10.3390/ijerph17165961.
8
Patient Accessibility and Budget Impact of Orphan Drugs in South Korea: Long-Term and Real-World Data Analysis (2007-2019).韩国孤儿药的患者可及性和预算影响:长期真实世界数据分析(2007-2019)。
Int J Environ Res Public Health. 2020 Apr 26;17(9):2991. doi: 10.3390/ijerph17092991.
9
Disease pharmacokinetic-pharmacodynamic modelling in acute intermittent porphyria to support the development of mRNA-based therapies.急性间歇性卟啉症的疾病药代动力学-药效学建模以支持基于mRNA疗法的开发。
Br J Pharmacol. 2020 Jul;177(14):3168-3182. doi: 10.1111/bph.15040. Epub 2020 Apr 14.
10
Clinical research challenges in rare genetic diseases in Brazil.巴西罕见遗传病的临床研究挑战
Genet Mol Biol. 2019;42(1 suppl 1):305-311. doi: 10.1590/1678-4685-GMB-2018-0174. Epub 2019 Jun 3.